Skip to main content
Log in

Significance of zinc in nephrotoxicity of contrast media used in imaging diagnostics of the cardiovascular system

  • Short Review
  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

Nephrotoxicity is an undesirable reaction of contrast media used in X-ray or magnetic resonance diagnostics. In addition to a direct toxic effect on renal tubules, the hemodynamic factor is considered to be the main cause of kidney damage and malfunction. The factors that increase the probability of a nephrotoxic effect of contrast media include oldage, diabetes, arterial hypertension, circulatory system insufficiency, neoplastic diseases, and prior kidney damage. Decreased serum zinc is observed in all those conditions. In this article, the influence of contrast media on zinc homeostasis and the possibility of a nephrotoxic reaction caused by these agents is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. B. Barret, Contrast nephrotoxicity,J. Am. Soc. Nephrol. 5, 125–129 (1994).

    Article  Google Scholar 

  2. A. Berns, Nephrotoxicity of contrast media,Kidney Int. 36, 730–736 (1989).

    Article  PubMed  CAS  Google Scholar 

  3. S. Heyman, S. Rosen, and M. Brezis, Radiocontrast nephropathy: a paradigm for the synergism between toxic and hypoxic insults in the kidney,Exp. Nephrol. 2, 152–158 (1994).

    Google Scholar 

  4. G. Porter, Radiocontrast-induced nephropathy,Nephrol. Dial. Transplant. 9(Suppl.4), 146–150 (1994).

    PubMed  Google Scholar 

  5. M. Rudnick, J. Berns, R. Cohen, and S. Goldfarb, Nephrotoxic risks of renal angiography: contrast media-associated nephrotoxicity and atheroembolism–a critical review,Am. J. Kidney Dis. 24, 713–718 (1994).

    PubMed  CAS  Google Scholar 

  6. H. S. Thomsen and S. K. Morcos, Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines,Br. J. Radiol. 76, 513–518 (2003).

    Article  PubMed  CAS  Google Scholar 

  7. C. Brigouri, A. Colombo, F. Airoldi, et al., Gadolinium-based contrast agents and nephrotoxicity in patients undergoing coronary artery procedures,Catheter. Cardiovasc. Intervent 67, 175–180 (2006).

    Article  Google Scholar 

  8. T. Larson, K. Hudson, and J. Mertz, J. C. Romero, and F. G. Knox, Renal vasoconstriction respons to contrast media. The role of sodium balance and the renin-angiotensin system,J. Lab. Ciln. Med. 101, 385–391 (1983).

    CAS  Google Scholar 

  9. G. Vivoli, M. Bergomi, S. Rovesti, M. Pinotti, and E. Caselgrandi, Zinc, copper and Zn- or copper-dependent enzymes in human hypertension,Biol. Trace Element Res. 49, 97–106 (1995).

    Article  CAS  Google Scholar 

  10. W. B. Kinlaw, A. S. Levine, J. E. Morley, S. E. Silvis, and J. C. McClain, Abnormal zinc metabolism in type II diabetes mellitus,Am. J. Med. 75, 273–280 (1983).

    Article  PubMed  CAS  Google Scholar 

  11. S. Tubek, The Zn content in lymphocytes and the activity of zinc ions efflux from lymphocytes in primary arterial hypertension,Biol. Trace Element Res. 107, 89–99 (2005).

    Article  CAS  Google Scholar 

  12. B. L. Vallee and K. H. Falchuk, The biochemical basis of zinc physiology,Physiol. Rev. 73, 79–91 (1993).

    PubMed  CAS  Google Scholar 

  13. E. S. Harpur, D. Worak, P. A. Hals, E. Holtz, K. Furuhama, and H. Nomma, Preclinical safety assesment and pharmacokinetics of gadodiamide injection, a new magnetic resonance imaging contrast media,Invest. Radiol. 28(Suppl. 1), S28-S43 (1993).

    Article  PubMed  CAS  Google Scholar 

  14. Editorial: Importance of zinc for hormone binding and signal transduction: limiting mechanisms in Zn deficiency?Nutr. Rev. 49, 369–370 (1991).

  15. M. Chvapil, Effect of zinc on cell and biomembranes,Med. Clin. North Am. 60, 799–808 (1976).

    PubMed  CAS  Google Scholar 

  16. J. Cortijo, J. V. Esplugues, and B. Sarria, Zinc as a calcium antagonist; a pharmacological approach in strips of rat aorta,IRCS Med. Sci. Cancer 13, 292–293 (1985).

    CAS  Google Scholar 

  17. N. Harrison and S. Gibbons, Zn2+: an endogenous modulator of ligand- and voltagegated ion channels,Nueropharmacology 33, 935–960 (1994).

    Article  CAS  Google Scholar 

  18. L. Ruilope, V. Lahera, and J. Rodicio, Evaluation of the renal effects of calcium antagonists,J. Cardiovasc. Pharmacol. 23(Suppl. 5), S49-S54 (1994).

    PubMed  CAS  Google Scholar 

  19. K. Hayakawa, Y. Ohuno, and Y. Shimizu, Effect of iodinated contrast media on ionic calcium,Acta Radiol. 35, 83–86 (1994).

    Article  PubMed  CAS  Google Scholar 

  20. N. R. Puttagunta, W. A. Gibby, and G. T. Smith, Human in vivo comparative study of zinc and copper transmetallation after administration of magnetic resonance imaging contrast agents,Invest. Radiol. 31, 739–742 (1996).

    Article  PubMed  CAS  Google Scholar 

  21. M. Calero, A. Sampalo, J. E. Millan, J. Freire, A. Senra, and E. Zamora, Changes in the activity of plasma renin and aldosterone induced by a pattern of increasing administration of Zn sulphate in normotensive individuals,Med. Clin. (Barc.) 92, 729–732 (1989) (abstract).

    CAS  Google Scholar 

  22. W. J. Bettger and B. L. O’Dell, A critical physiological role of zinc in the structure and function of biomembranes,Life Sci. 28, 1425–1438 (1981).

    Article  PubMed  CAS  Google Scholar 

  23. M. D. Noseworthy and T. M. Bray, Zinc deficiency exacerbates loss in blood-brain barrier integrity induced by hyperoxia measerd by dynamic MRI,Proc. Soc. Exp. Biol. Med. 223, 175–182 (2000).

    Article  PubMed  CAS  Google Scholar 

  24. M. Capasso, J. M. Jeng, M. Malavolta, E. Mocchegiani, and S. L. Sensi, Zinc dyshomeostasis: a key modulator neuronal injury,J. Altzheimer’s Dis. 8, 93–108 (2005).

    CAS  Google Scholar 

  25. S. Tubek, Correlations between serum zinc concentrations and oxygen balance parameters in patients with primary arterial hypertension,Biol. Trace Element Res. in press.

  26. H. Pedersen, E. Jacobsen, H. Reisum, and N. Klow, Cardiac effects of coronary arteriography with electrolyte additon to iohexol: A study in dogs with and without heart failure,Acta Radiol. 35, 77–81 (1994).

    Article  PubMed  CAS  Google Scholar 

  27. S. Tubek and I. Tubek, The effect of 75% uropolinum administration on zinc serum concentration in patients undergoing intravenous urography,Problemy Terapii Monitorowanej 8, 82–85 (1997) (in Polish).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sławomir Tubek.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tubek, S., Tubek, I. Significance of zinc in nephrotoxicity of contrast media used in imaging diagnostics of the cardiovascular system. Biol Trace Elem Res 117, 1–5 (2007). https://doi.org/10.1007/BF02698078

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02698078

Index Entries

Navigation